Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $33.43 / $60.11	Facility		$15.25	$33.43	$60.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.89 / $38.22	Professional		$9.33	$10.89	$38.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.11 / $32.64	Professional		$16.52	$26.11	$32.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $24.75 / $82.64	Professional		$14.14	$24.75	$82.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.14 / $23.72 / $44.33	Facility		$14.14	$23.72	$44.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $14.56 / $38.79	Professional		$8.48	$14.56	$38.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $28.81 / $44.33	Facility		$17.32	$28.81	$44.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.81 / $38.79	Professional		$16.98	$28.81	$38.79
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $11.86 / $34.25	Professional		$8.48	$11.86	$34.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $14.14 / $14.14	Professional		$11.17	$14.14	$14.14